ASC Coding, Billing & Collections

Several major payers have faced criticism in 2023 for reimbursement and prior authorization changes within the gastroenterology space. 

Certificate-of-need laws, which govern where providers can build facilities, have been an obstacle to ASC growth for years, but many leaders are hopeful about the policy changes made in 2023. 

As operating costs continue to rise, low reimbursements weigh heavily on physicians.

Dolor Technologies has entered a settlement agreement to resolve false claims allegations relating to a device it sold to treat migraines. 

Two Little Rock, Ark.-based ASCs — Freeway Surgery Center and Centerview Surgery Center — have filed a complaint against Arkansas Blue Cross and Blue Shield of Little Rock, the state's largest health insurance company, over millions of dollars in unpaid…

The American Medical Association has identified the insurance industry giants with the largest shares of the commercial health insurance, Medicare Advantage and public health exchange markets in 2023. 

MedPAC is urging Congress to increase Medicare pay in its 2025 payment update recommendations drafted Dec. 8. 

Amazon, CVS Health and Optum are no strangers to value-based care. Here's how they dug deeper into the model in 2023: 

Cardiac surgeons are the physician specialty with the highest average charges, according to a November report from Definitive Healthcare. 

The ASC payable list from CMS has seen sizable change in the last five years — but has it been enough to allow ASCs to thrive?